VATI MATERNAL AND NEWBORN EXAM
PRACTICE QUESTIONS WITH DETAILED
EXPLANATIONS 2026
◉ A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation and has chlamydia. Which of the following statements
should the nurse include?
Answer: "After treatment, you will need another test in 3 weeks and
again between 35 and 37 weeks."
The nurse should reinforce with the client that they will need to be
retested for chlamydia 3 weeks after completing the prescribed
regimen and again between 35 and 37 weeks of gestation. Most
clients who have chlamydia are asymptomatic. Therefore, clients
should be retested to identify potential reinfection, which would
allow for additional treatment and decrease the risk for harm to the
fetus during delivery.
◉ A nurse is reinforcing teaching with a client who plans to use a
modified-paced breathing technique to relieve labor pain. Which of
the following instructions should the nurse include in the teaching?
Answer: "Begin and end modified-breathing with a deep cleansing
breath.
,The nurse should instruct the client that all breathing patterns begin
with a deep, relaxing, cleansing breath to "greet the contraction" and
end with an exhaled deep breath to "blow the contraction away."
Deep breaths ensure sufficient oxygenation for both the client and
fetus.
◉ A nurse is reviewing the laboratory reports of four newborns.
Which of the following laboratory results should the nurse report to
the provider?
Answer: Hgb 10 g/dL
A hemoglobin level of 10 g/dL is below the expected reference range
of 14 to 24 g/dL for a newborn. The nurse should report this finding
to the provider.
◉ A nurse is collecting data from an antepartum client who reports
taking ferrous sulfate twice per day for the past month. The nurse
should notify the provider of which of the following findings?
Answer: Diarrhea
The nurse should report diarrhea to the provider because it is a
potential adverse effect of the medication. Diarrhea can lead to
dehydration, which can cause preterm labor. This finding should be
reported to the provider.
, ◉ A nurse is collecting data from a client who is 24 hr postpartum.
Which of the following findings is the priority for the nurse to report
to the provider?
Answer: Saturated perineal pad within 15 min
A saturated perineal pad within 15 min can indicate a cervical or
vaginal tear. Therefore, the nurse should report this finding to the
provider immediately.
◉ Anurse is collecting data from a newborn who is 6 hr old. Which
of the following manifestations should the nurse expect? (Select all
that apply.)
Answer: Rust-stained urine is correct. A newborn's first void can
contain uric acid crystals, which will give the urine a rust-stained
appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures
should be palpable without evidence of fusion. Overlapping sutures
can occur during a vaginal birth to allow passage of the fetus
through the birth canal.
PRACTICE QUESTIONS WITH DETAILED
EXPLANATIONS 2026
◉ A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation and has chlamydia. Which of the following statements
should the nurse include?
Answer: "After treatment, you will need another test in 3 weeks and
again between 35 and 37 weeks."
The nurse should reinforce with the client that they will need to be
retested for chlamydia 3 weeks after completing the prescribed
regimen and again between 35 and 37 weeks of gestation. Most
clients who have chlamydia are asymptomatic. Therefore, clients
should be retested to identify potential reinfection, which would
allow for additional treatment and decrease the risk for harm to the
fetus during delivery.
◉ A nurse is reinforcing teaching with a client who plans to use a
modified-paced breathing technique to relieve labor pain. Which of
the following instructions should the nurse include in the teaching?
Answer: "Begin and end modified-breathing with a deep cleansing
breath.
,The nurse should instruct the client that all breathing patterns begin
with a deep, relaxing, cleansing breath to "greet the contraction" and
end with an exhaled deep breath to "blow the contraction away."
Deep breaths ensure sufficient oxygenation for both the client and
fetus.
◉ A nurse is reviewing the laboratory reports of four newborns.
Which of the following laboratory results should the nurse report to
the provider?
Answer: Hgb 10 g/dL
A hemoglobin level of 10 g/dL is below the expected reference range
of 14 to 24 g/dL for a newborn. The nurse should report this finding
to the provider.
◉ A nurse is collecting data from an antepartum client who reports
taking ferrous sulfate twice per day for the past month. The nurse
should notify the provider of which of the following findings?
Answer: Diarrhea
The nurse should report diarrhea to the provider because it is a
potential adverse effect of the medication. Diarrhea can lead to
dehydration, which can cause preterm labor. This finding should be
reported to the provider.
, ◉ A nurse is collecting data from a client who is 24 hr postpartum.
Which of the following findings is the priority for the nurse to report
to the provider?
Answer: Saturated perineal pad within 15 min
A saturated perineal pad within 15 min can indicate a cervical or
vaginal tear. Therefore, the nurse should report this finding to the
provider immediately.
◉ Anurse is collecting data from a newborn who is 6 hr old. Which
of the following manifestations should the nurse expect? (Select all
that apply.)
Answer: Rust-stained urine is correct. A newborn's first void can
contain uric acid crystals, which will give the urine a rust-stained
appearance.
Overlapping cranial sutures is correct. A newborn's cranial sutures
should be palpable without evidence of fusion. Overlapping sutures
can occur during a vaginal birth to allow passage of the fetus
through the birth canal.
